Job Description
Certified Professional Coder / Bill Review Expert
Responsibilities:
- Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds
- Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned
- Assign proper codes as needed based on review outcome
- Use various resources, IE: eBooks, 3M software to support reviews
- Interpret fee schedule guidelines and apply those guidelines in daily reviews
- Document review outcomes for customer in a professional easy to understand manner
- Participate in conference calls as needed with customer and/or attorneys
- Assist with various special projects and other duties as assigned
Qualifications and Experience:
- 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules
- Strong communicate skills, must be able to explain outcome of review, both written and verbally
- Extensive knowledge of coding /documentation requirements
- Thorough knowledge of CPT, HCPCs, ICD-10
- CPC/AAPC certification required
- Ability to multi-task
- Ability to meet critical timelines
- Willingness to testify on a as needed bases on behalf of customer to coding outcomes
- Willingness to travel for testimony as required
- Computer experience
- Excel experience beyond beginner
- Independent worker
- Ability to manage time when working remotely
- Must be able to travel to Hamilton NJ office as needed
- Ability to effectively communicate with team